The sternocleidomastoid, or more simply sternomastoid, muscle arises by two heads from the front of the manubrium sterni and the upper surface of the medial third of the clavicle (see figs. 6-2, 19-2, and 50-8). It ascends obliquely in the neck (figs.
Titration and maintenance dose: The dose can be doubled at interval of two to four weeks to progressively achieve target blood pressure; the maximum permitted dose of Ramipril is 10mg daily. Usually the dose is administered once daily. Starting dose: The recommended initial dose is 1.25mg of Ramipril once daily.
The most common ramipril side effects (occurring in more than 1 percent of people with high blood pressure) were: 1  Headache -- in up to 5.4 percent of people. 2  Dizziness and fatigue -- up to in 2.2 percent. 3  Body weakness (asthenia) -- up to 2 percent. 4  Cough -- up to 12 percent.